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Home My WebLink AboutBLDE-23-002602 Commonwealth of Official Use Only 0E_ ,� Massachusetts Permit No. BLDE-23-002602 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/07) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:11/10/2022 City or Town of: YARMOUTH T the Inspector of Wires. By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 145 GREAT WESTERN RD Owner or Tenant SIMONDS RALPH M III TRS Telephone No. Owner's Address SIMONDS FONDA E TRS,145 GREAT WESTERN RD,SOUTH YARMOUTH,MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters ��4,0 New Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install generator Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 14 No.of Luminaires Swimming Pool Above ❑ in- No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of AirCond. TotalTon No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Marcelo R Soares Licensee: Marcelo R Soares Signature LIC.NO.: 13036 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:53 FALMOUTH SANDWICH RD,MASHPEE MA 026494307 Alt.Tel.No.: °Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 -1—fa.uiveti kalotra" it/1 7 Vz:. REGE1v/ E_ ® NOV 9 2022 NG Y�� E NT l�ommon�eraatth ol/Iiadaat�iueat't`e Official Use Only e' BUiLD ... ._ _. ..,,_ � 7 Jay , ,-ti , 7. ` //``77 Permit No./ ' —776 C v •:-:AL,. �' 2f��ni o/. u.s S.s.0 c/6 i J l I Occupancy and Fee Checked • ;.° BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) a APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ,� All work to be performed in accordance with the Massachusetts Electrical Code(MEC,527 CMR 12.00 4.J (PLEASE PRINT IN INK OR TYPE ALL INFORMA77ON1 Date: i t ��j�=� 1 �� City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 14t C ti c-A-1- v. �`.,;tilt,.; rz.) J Owner or Tenant LA1—pl{ 5e� -c Telephone No. -31-1 — hY,i— t✓ "Hi-, ? Owner's Address Is this permit In conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) .J Purpose of Building Utility Authorization No. r, Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampaclty i 1 Location and Nature of Proposed Electrical Work: ILI .1 -A1V-)ice✓- k,.1;AT 1-► yet Completion of the following_table mD,be waived by the Ins ctor of Wires. LL No.of Recessed Luminaires No.of CeIL-Sasp.(Paddle)Fans No.of Total n� Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA -4' No.of Luminaires • Swimming Pool Above ❑ In- No of Emergency Lighting flrnd• grnd. ❑ . Battery Units Zs: No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices tt.t No.of Ranges No.of�Alr Cond. Total _ Tons No.of Alerting Devices No.of Waste Disposers 'treat Pump I Number ..ons No.of Self-Contained Totals: . ._..__.__ .. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipa Connectbnl D "her No.of Dryers Heating Appliances KW Security gystems:1 No.of Water No.of No.of Devices or Equivalent Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecoromunieations irin : OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in farce,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND [ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FiRM NAME: i L tU) LIC.NO.: i Licensee: ��J��j Signature LiC.NO.: Z-1{,!• il (If applicable.enter"exempt"in the license number line.) Address: Bus.Tel.No.•-114- Y'A1, C.;,' y *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: LiAlt c.No. 1 OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE:$ I